| NPI | 1215291232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D83568) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125061895) |
| 207L00000X Anesthesiology (Licence: FL ME126946) | |
| 207R00000X Internal Medicine (Licence: IL 125061895) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-07-21 |